IndividualActive
Chad Jackson, MD
NPI 1184067498 · Ophthalmology Physician · Boise, ID
Provider details
- NPI number
- 1184067498
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 67198 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
111 W Main St Ste 200
Boise, ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461
Approximate (ZIP-level) locationGet directions
Mailing address
111 W Main St Ste 200
Boise, ID 83702-7308
Additional practice locations (3)
- 5435 Reno Corporate Dr Ste 100Reno, NV 89511-2250Phone: (775) 322-3311Fax: (775) 322-8388
- 4502 Medical DrSan Antonio, TX 78229-4402Phone: (210) 567-8406
- 925 N 87th StMilwaukee, WI 53226-4812Phone: (414) 456-2020Fax: (414) 456-6300
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2022-07-21
- Certified
- 2020-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.